Brady Pregerson, MD

: A 20-year-old female is brought to the emergency department by EMS for altered mental status. Her roommate found her lethargic in bed with the lights and music on and an empty bottle of vodka near her bedside. Medics state that the roommate told them she has a history of depression and just broke up with her girlfriend. She hadn’t seemed physically ill in the past few days but had been complaining of a headache.

: Vital signs are normal except for borderline tachycardia. On exam, she is lethargic with slurred speech to painful stimuli. Pupils are equal and react although a bit sluggishly. She has no obvious focal deficits but is unable to cooperate with the neurologic exam.

Computer Read: Rate 94, PR 254, QTc 395. Normal sinus rhythm with first-degree AV block. Nonspecific ST and T wave abnormality

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Our latest case report from Dr. Brady Pregerson features a 20 y/o female brought to the emergency department by EMS for altered mental status. Check out the EKG and see if you can determine the diagnosis.

Case Report: Altered College Student

A man in his 40’s presents to the emergency department with palpitations, shortness of breath, and feeling a bit dizzy. He states everything started suddenly about 2 hours ago while preparing his lunch and he has never felt this way before. He denies any chest pain or pressure, syncope or near syncope, or other complaints.

Vital signs were normal except for a pulse rate of 201. Physical exam was normal except for tachycardia and slight tremor.

This case report from Brady Pregerson, MD, features a man in his 40s presenting with dizziness, palpitations, and shortness of breath. Check out the EKG and determine the correct diagnosis.

Case Report: Dizziness, Palpitations, and Shortness of Breath

You respond to a code blue for a man in his 70’s who is waiting for SNF placement after recent admission for COVID-19. His COVID tests are now negative and his symptoms have resolved. The nurses were readjusting his position in bed when he suddenly collapsed and became unresponsive. An AED was attached and read “No Shock Advised”. 

A monitor was attached about two minutes later and showed asystole. CPR is in progress and 2 rounds of Epi have been given. You ask the nurse if anything has been different today prior to the arrest and she mentions that his legs look a bit swollen today and his urine output has decreased.

: GCS = 3, minimal respiratory effort being bagged. You call for a pulse check and note a rhythm in the 30’s with a decent pulse. BP is measured and is 95/55.

Computer Read: Atrial fibrillation with slow ventricular response, RBBB, rate = 30, QTc = 332.

Check out our latest case report from Brady Pregerson, MD, which features a man in his 70s who recently recovered from COVID-19. Can you determine the correct diagnosis?

Case Report: Code Blue and Leg Edema

 A woman in her early 50’s presents to the emergency department for generalized weakness “for a while”. She is a poor historian but denies syncope, palpitations, chest pain or SOB. She is quite odd and makes you wonder.

 Vital signs are normal except for a pulse of 102 and a BP of 91/55. Her mucous membranes look a bit dry but the rest of her exam is non-focal.

1-Minute Consult (from the Emergency Medicine 1-Minute Consult Pocketbook) on the topic for this case:

The Emergency Medicine 1-Minute Consult Pocketbook

This case report from Dr. Brady Pregerson features a woman in her 50s presenting with generalized weakness but denies syncope, palpitations, chest pain, or SOB. Can you determine the correct diagnosis?

Brady Pregerson, MD

Articles

Case Report: Altered College Student

Case Report: Dizziness, Palpitations, and Shortness of Breath

Case Report: Code Blue and Leg Edema

Cardiology Case Report: Wonder Woman